ArticlePreventive medicine reports2017
Optimism predicts sustained vigorous physical activity in postmenopausal women.
Article in Preventive medicine reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Association of Optimism With Cardiovascular Events and All-Cause Mortality: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- Emotional Vitality, Flourishing, and Healthy Lifestyles in Young Adults: A Longitudinal Study.International journal of behavioral medicine · 2026Article
- Exploring the psychological well-being construct and validating the Comprehensive Inventory of Thriving in Singapore.Health and quality of life outcomes · 2026Article
- Associations Between Psychological Factors and Adherence to Health Behaviors After Percutaneous Coronary Intervention: The Role of Cardiac Rehabilitation.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Psychometric Analysis of the Modified Differential Emotions Scale and the Six-Item Life Orientation Test-Revised in a Cohort of Older Women from the Women's Health Initiative.Journal of women's health (2002) · 2023Article
- Child psychological well-being and adult health behavior and body mass index.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Optimism and survival: health behaviors as a mediator-a ten-year follow-up study of Chinese elderly people.BMC public health · 2022Article
- Is Optimism a Protective Factor for Cardiovascular Disease?Current cardiology reports · 2021Review
- Dispositional Optimism and All-Cause Mortality in Older Adults: A Cohort Study.Psychosomatic medicine · 2021Article
- Mental Health and Religiosity in the Sardinian Blue Zone: Life Satisfaction and Optimism for Aging Well.Journal of religion and health · 2021Article
- Positive psychological well-being and cardiovascular disease: Exploring mechanistic and developmental pathways.Social and personality psychology compass · 2021Article
- Do health behaviors mediate associations between personality traits and diabetes incidence?Annals of epidemiology · 2021Article
- Distinct trajectories of moderate to vigorous physical activity and sedentary behavior following a breast cancer diagnosis: the Pathways Study.Journal of cancer survivorship : research and practice · 2020Article
- The longitudinal association of psychological resources with chronic conditions and the mediating roles of health behaviours and allostatic load.Psychology & health · 2020Article
- Cyberchondria During the Coronavirus Pandemic: The Effects of Neuroticism and Optimism.Frontiers in psychology · 2020Article
- Psychological well-being as part of the public health debate? Insight into dimensions, interventions, and policy.BMC public health · 2019Review
- Variability in sleep disturbance, physical activity and quality of life by level of depressive symptoms in women with Type 2 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2019Article
- Prospective associations of happiness and optimism with lifestyle over up to two decades.Preventive medicine · 2019Article
- Emotional Impact on Health Behavior Adherence After Bariatric Surgery: What About Positive Psychological Constructs?Obesity surgery · 2019Article
- Optimism and Healthy Aging in Women and Men.American journal of epidemiology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 8 institutions in 2 countries.
Funding
Abstract
Optimism and cynical hostility are associated with health behaviors and health outcomes, including morbidity and mortality. This analysis assesses their association with longitudinal vigorous physical activity (PA) in postmenopausal women of the Women's Health Initiative (WHI). Subjects include 73,485 women nationwide without history of cancer or cardiovascular disease (CVD), and no missing baseline optimism, cynical hostility, or PA data. The Life Orientation Test-Revised Scale measured optimism. A Cook Medley questionnaire subscale measured cynical hostility. Scale scores were divided into quartiles. Vigorous PA three times or more per week was assessed via self-report at study baseline (1994-1998) and through follow-up year 6. Descriptive analysis mapped lifetime trajectories of vigorous PA (recalled at ages 18, 25, 50; prospectively assessed at baseline, and 3 and 6 years later). Hierarchical generalized linear mixed models examined the prospective association between optimism, cynical hostility, and vigorous PA over 6 years. Models adjusted for baseline sociodemographic variables, psychosocial characteristics, and health conditions and behaviors. Vigorous PA rates were highest for most optimistic women, but fell for all women by approximately 60% between age 50 and study baseline. In adjusted models from baseline through year 6, most vs. least optimistic women were 15% more likely to exercise vigorously (p < 0.001). Cynical hostility was not associated with lower odds of longitudinal vigorous PA after adjustment. Results did not differ by race/ethnicity or socioeconomic status. Higher optimism is associated with maintaining vigorous PA over time in post-menopausal women, and may protect women's health over the lifespan.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.